Individual provider Active NPI

Douglas Allan Treyz, DMD

  • General Practice Dentistry
  • Goldens Bridge, NY
National Provider Identifier
1356533459
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41759 Issued in NY
Practice address
200 North County Center
Suite 200
Goldens Bridge, NY 10526
Phone
(914) 232-1619
Fax
(914) 232-1620
NPI assigned
Aug 13, 2007
Last updated
Nov 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 41759 NY Primary

Addresses

Primary practice location

200 North County Center
Suite 200
Goldens Bridge, NY 10526

Mailing address

PO Box 262
Goldens Bridge, NY 10526-0262
Phone (914) 232-1619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
41759NYMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1356533459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262",
            "city": "GOLDENS BRIDGE",
            "state": "NY",
            "postal_code": "105260262",
            "telephone_number": "914-232-1619",
            "fax_number": "914-232-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTH COUNTY CENTER",
            "address_2": "SUITE 200",
            "city": "GOLDENS BRIDGE",
            "state": "NY",
            "postal_code": "10526",
            "telephone_number": "914-232-1619",
            "fax_number": "914-232-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREYZ",
        "first_name": "DOUGLAS",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-13",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "41759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldens Bridge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.